DXA and Osteoporosis Management: When to Treat and When to Refer

Ginnie Prater, MD
Clinical Assistant Professor
University of Alabama
Medical Director Blue Cross and Blue Shield of Alabama
Birmingham, AL

This activity is designated to improve competency in using DXA scan - related tools to appropriately stratify risk, diagnose, and treat osteoporatic patients.

Upon completion of this lecture, participants will be able to:

  1. Prescribe lifestyle management for osteopenia and osteoporosis

  2. Define osteoporosis, osteopenia and normal bone density

  3. Name common errors in DXA reporting and interpretation

  4. Correctly stratify patients' fracture risk

Release Date: 6/7/2023
Expiration Date: 6/7/2026


None of the planners/faculty for this educational activity have a relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, or re-selling, or distributing healthcare products used by or on patients



World Class CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

World Class CME designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity may be available in multiple formats or from different sponsors. A self-learning activity can be completed only once per biennium


World Class CME relies on its CME faculty to provide program content that is evidence-based and free of commercial bias. Therefore, in accordance with ACCME standards, any faculty, program director, reviewer and/or provider industry relationships will be disclosed and resolved. Speakers are required to openly disclose any limitations of data or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

This activity is supported by an unrestricted educational grant from Hologic, Inc.

Instructions to Receive Credit:  After viewing the video, click on the “Take the Quiz” button and complete the post-activity quiz.  After completing the quiz, fill out the evaluation form and submit.  Your CME certificate will then be emailed to you


  1. Messina, et al. Prevalence and Type of Errors in Dual-Energy X-Ray Absorptiometry. Eur Radiol 2015 25: 1504-1511​

  2. Camacho, et al. American Association of Clinical Endocrinologists/American College of Endocrinology Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis-2020 Update. Endocr Pract 2020 May; 26 (Suppl 1): 1-46 ​

  3. Karakis, et al. Energy Deficiency, Menstrual Disorders and Low Bone Mineral Density in Female Athletes: A Systematic Review. Hormones (Athens) 2021 Sep; 20(3): 439-448​

  4. Zhang S, Huang X, Zhao X, et al. Effect of exercise on bone mineral density among patients with osteoporosis and osteopenia: a systematic review and network meta-analysis. J Clin Nurs. 2021​

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